Individual
VALERIE KASSUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 EDELWEISS VILLAGE PKWY, GAYLORD, MI 49735-7441
(989) 732-5233
Mailing address
PO BOX 374, JOHANNESBURG, MI 49751-0374
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
228189
MI
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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